| NPI | 1386926954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GARRAND BUREAU Optician Owner 518-338-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |